<h:html xmlns:h="http://www.w3.org/1999/xhtml" xmlns="http://www.w3.org/2002/xforms" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:jr="http://openrosa.org/javarosa">
 <h:title>TL Training Report</h:title>
  <model id="14895">
    <instance xmlns="">
    <root>
	  <Meta>
		<UserID/>
		<DeviceID/>
		<TimeStartRecorded />
		<TimeEndRecorded />
	  </Meta>
      <Date qid="422" gid="69"/>
      <Prov qid="423" gid="69"/>
      <Wheretrain qid="430" gid="69"/>
      <Wheretrainother qid="431" gid="69"/>
      <LocEC qid="426" gid="69"/>
      <LocWC qid="424" gid="69"/>
      <LocGP qid="425" gid="69"/>
      <LocKZN qid="427" gid="69"/>
      <LocFS qid="435" gid="69"/>
      <LocLP qid="434" gid="69"/>
      <LocMP qid="436" gid="69"/>
      <LocNW qid="437" gid="69"/>
      <LocNC qid="438" gid="69"/>
      <Male qid="428" gid="69"/>
      <Female qid="429" gid="69"/>
      <TimeStart qid="433" gid="69"/>
      <TimeEnd qid="432" gid="69"/>
      <Topics1 qid="447" gid="72"/>
      <Topicother1 qid="448" gid="72"/>
      <Topics2 qid="449" gid="72"/>
      <Topicother2 qid="453" gid="72"/>
      <Topics3 qid="450" gid="72"/>
      <Topicother3 qid="454" gid="72"/>
      <Topics4 qid="451" gid="72"/>
      <Topicother4 qid="455" gid="72"/>
      <Topics5 qid="452" gid="72"/>
      <Topicother5 qid="456" gid="72"/>
      <AVKit qid="439" gid="70"/>
      <CHMTDVD qid="440" gid="70"/>
      <Chmtscrutinize qid="443" gid="70"/>
      <ChmtSparesBesties qid="444" gid="70"/>
      <ChmtPSA qid="445" gid="70"/>
      <CofacilitateCHMT qid="441" gid="70"/>
      <CofacilitatorCHMT qid="442" gid="70"/>
      <Oname qid="460" gid="73"/>
      <Ophone qid="461" gid="73"/>
      <Ocontact qid="457" gid="73"/>
      <Ocontactnumber qid="459" gid="73"/>
      <Oposition qid="458" gid="73"/>
      <Confirmed qid="446" gid="71"/>
    </root>
    </instance>
    <bind id="hidden1" nodeset="/root/Meta/UserID" type="xsd:string" jr:preload="context" jr:preloadParams="UserID" />
	<bind id="hidden2" nodeset="/root/Meta/DeviceID" type="xsd:string" jr:preload="property" jr:preloadParams="DeviceID" />
	<bind id="hidden3" nodeset="/root/Meta/TimeStartRecorded" type="xsd:dateTime" jr:preload="timestamp" jr:preloadParams="start" />
	<bind id="hidden4" nodeset="/root/Meta/TimeEndRecorded" type="xsd:dateTime" jr:preload="timestamp" jr:preloadParams="end" />
    <bind id="1" nodeset="/root/Date" required="true()" type="xsd:date"/>
    <bind id="2" nodeset="/root/Prov" required="true()" type="xsd:string"/>
    <bind id="3" nodeset="/root/Wheretrain" required="true()" type="xsd:string"/>
    <bind id="4" nodeset="/root/Wheretrainother" type="xsd:string" relevant="/root/Wheretrain='99'"/>
    <bind id="5" nodeset="/root/LocEC" type="xsd:string" relevant="/root/Prov='1'"/>
    <bind id="6" nodeset="/root/LocWC" type="xsd:string" relevant="/root/Prov='9'"/>
    <bind id="7" nodeset="/root/LocGP" type="xsd:string" relevant="/root/Prov='2'"/>
    <bind id="8" nodeset="/root/LocKZN" type="xsd:string" relevant="/root/Prov='4'"/>
    <bind id="9" nodeset="/root/LocFS" type="xsd:string" relevant="/root/Prov='3'"/>
    <bind id="10" nodeset="/root/LocLP" type="xsd:string" relevant="/root/Prov='5'"/>
    <bind id="11" nodeset="/root/LocMP" type="xsd:string" relevant="/root/Prov='6'"/>
    <bind id="12" nodeset="/root/LocNW" type="xsd:string" relevant="/root/Prov='7'"/>
    <bind id="13" nodeset="/root/LocNC" type="xsd:string" relevant="/root/Prov='8'"/>
    <bind id="14" nodeset="/root/Male" required="true()" type="xsd:int"/>
    <bind id="15" nodeset="/root/Female" required="true()" type="xsd:int"/>
    <bind id="16" nodeset="/root/TimeStart" required="true()" type="xsd:time"/>
    <bind id="17" nodeset="/root/TimeEnd" required="true()" type="xsd:time"/>
    <bind id="26" nodeset="/root/Topics1" required="true()" type="xsd:string"/>
    <bind id="27" nodeset="/root/Topicother1" type="xsd:string" relevant="/root/Topics1='20'"/>
    <bind id="28" nodeset="/root/Topics2" type="xsd:string"/>
    <bind id="29" nodeset="/root/Topicother2" type="xsd:string" relevant="/root/Topics2='20'"/>
    <bind id="30" nodeset="/root/Topics3" type="xsd:string"/>
    <bind id="31" nodeset="/root/Topicother3" type="xsd:string" relevant="/root/Topics3='20'"/>
    <bind id="32" nodeset="/root/Topics4" type="xsd:string"/>
    <bind id="33" nodeset="/root/Topicother4" type="xsd:string" relevant="/root/Topics4='20'"/>
    <bind id="34" nodeset="/root/Topics5" type="xsd:string"/>
    <bind id="35" nodeset="/root/Topicother5" type="xsd:string" relevant="/root/Topics5='20'"/>
    <bind id="18" nodeset="/root/AVKit" type="xsd:select1"/>
    <bind id="19" nodeset="/root/CHMTDVD" type="xsd:select1"/>
    <bind id="20" nodeset="/root/Chmtscrutinize" type="xsd:select1"/>
    <bind id="21" nodeset="/root/ChmtSparesBesties" type="xsd:select1"/>
    <bind id="22" nodeset="/root/ChmtPSA" type="xsd:select1"/>
    <bind id="23" nodeset="/root/CofacilitateCHMT" type="xsd:string"/>
    <bind id="24" nodeset="/root/CofacilitatorCHMT" type="xsd:string" relevant="/root/CofacilitateCHMT='2' or /root/CofacilitateCHMT='3' or /root/CofacilitateCHMT='4' or /root/CofacilitateCHMT='5'"/>
    <bind id="36" nodeset="/root/Oname" type="xsd:string"/>
    <bind id="37" nodeset="/root/Ophone" type="xsd:int"/>
    <bind id="38" nodeset="/root/Ocontact" type="xsd:string"/>
    <bind id="39" nodeset="/root/Ocontactnumber" type="xsd:int"/>
    <bind id="40" nodeset="/root/Oposition" type="xsd:string"/>
    <bind id="25" nodeset="/root/Confirmed" required="true()" type="xsd:select1"/>
  </model>
  <input bind="1">
    <label>On what date was the session held?</label>
  </input>
  <select1 bind="2">
    <label>Which Province?</label>
    <item>
      <label>Eastern Cape</label>
      <value>1</value>
    </item>
    <item>
      <label>Gauteng</label>
      <value>2</value>
    </item>
    <item>
      <label>Free State</label>
      <value>3</value>
    </item>
    <item>
      <label>Kwazulu Natal</label>
      <value>4</value>
    </item>
    <item>
      <label>Limpopo</label>
      <value>5</value>
    </item>
    <item>
      <label>Mpumalanga</label>
      <value>6</value>
    </item>
    <item>
      <label>North West Province</label>
      <value>7</value>
    </item>
    <item>
      <label>Northern Cape</label>
      <value>8</value>
    </item>
    <item>
      <label>Western Cape</label>
      <value>9</value>
    </item>
  </select1>
  <select1 bind="3">
    <label>Where was the training session held?</label>
    <item>
      <label>At the organisation being trained</label>
      <value>1</value>
    </item>
    <item>
      <label>At the CHMT offices</label>
      <value>2</value>
    </item>
    <item>
      <label>Conference Centre</label>
      <value>4</value>
    </item>
    <item>
      <label>Community Centre</label>
      <value>5</value>
    </item>
    <item>
      <label>Youth Centre</label>
      <value>6</value>
    </item>
    <item>
      <label>Church</label>
      <value>7</value>
    </item>
    <item>
      <label>Primary School</label>
      <value>8</value>
    </item>
    <item>
      <label>Secondary School</label>
      <value>9</value>
    </item>
    <item>
      <label>Other</label>
      <value>99</value>
    </item>
  </select1>
  <input bind="4">
    <label>Other (specify)</label>
  </input>
  <input bind="5">
    <label>What was the name of this Location (EC):</label>
  </input>
  <input bind="6">
    <label>What was the name of this Location (WC):</label>
  </input>
  <input bind="7">
    <label>What was the name of this Location (Gauteng):</label>
  </input>
  <input bind="8">
    <label>What was the name of this Location (KZN):</label>
  </input>
  <input bind="9">
    <label>What was the name of this Location (FS):</label>
  </input>
  <input bind="10">
    <label>What was the name of this Location (LP):</label>
  </input>
  <input bind="11">
    <label>What was the name of this Location (MP):</label>
  </input>
  <input bind="12">
    <label>What was the name of this Location (NW):</label>
  </input>
  <input bind="13">
    <label>What was the name of this Location (NC):</label>
  </input>
  <input bind="14">
    <label>Number of session participants (male)</label>
  </input>
  <input bind="15">
    <label>Number of session participants (female)</label>
  </input>
  <input bind="16">
    <label>What time did the session start?</label>
  </input>
  <input bind="17">
    <label>What time did the session end?</label>
  </input>
  <select1 bind="26">
    <label>What was the #1 topic discussed?</label>
    <item>
      <label>ARVs &amp; Adherence</label>
      <value>1</value>
    </item>
    <item>
      <label>ARV Readiness</label>
      <value>2</value>
    </item>
    <item>
      <label>Children and HIV </label>
      <value>3</value>
    </item>
    <item>
      <label>HIV &amp; the Immune System </label>
      <value>4</value>
    </item>
    <item>
      <label>Human Rights</label>
      <value>5</value>
    </item>
    <item>
      <label>Nutrition</label>
      <value>6</value>
    </item>
    <item>
      <label>Opportunistic infections  </label>
      <value>7</value>
    </item>
    <item>
      <label>Palliative &amp; Home based care</label>
      <value>8</value>
    </item>
    <item>
      <label>PEP &amp; Rape</label>
      <value>9</value>
    </item>
    <item>
      <label>PMTCT &amp; Maternal Health</label>
      <value>10</value>
    </item>
    <item>
      <label>Positive Living </label>
      <value>11</value>
    </item>
    <item>
      <label>Prevention </label>
      <value>12</value>
    </item>
    <item>
      <label>Safer sex</label>
      <value>13</value>
    </item>
    <item>
      <label>Sexuality</label>
      <value>14</value>
    </item>
    <item>
      <label>STI&apos;s</label>
      <value>15</value>
    </item>
    <item>
      <label>Teenage Pregnancy</label>
      <value>16</value>
    </item>
    <item>
      <label>TB</label>
      <value>17</value>
    </item>
    <item>
      <label>VCT </label>
      <value>18</value>
    </item>
    <item>
      <label>Woman&apos;s Health  </label>
      <value>19</value>
    </item>
    <item>
      <label>Other topic</label>
      <value>20</value>
    </item>
  </select1>
  <input bind="27">
    <label>Other topic:</label>
  </input>
  <select1 bind="28">
    <label>What was the #2 topic discussed?</label>
    <item>
      <label>ARVs &amp; Adherence</label>
      <value>1</value>
    </item>
    <item>
      <label>ARV Readiness</label>
      <value>2</value>
    </item>
    <item>
      <label>Children and HIV </label>
      <value>3</value>
    </item>
    <item>
      <label>HIV &amp; the Immune System </label>
      <value>4</value>
    </item>
    <item>
      <label>Human Rights</label>
      <value>5</value>
    </item>
    <item>
      <label>Nutrition</label>
      <value>6</value>
    </item>
    <item>
      <label>Opportunistic infections  </label>
      <value>7</value>
    </item>
    <item>
      <label>Palliative &amp; Home based care</label>
      <value>8</value>
    </item>
    <item>
      <label>PEP &amp; Rape</label>
      <value>9</value>
    </item>
    <item>
      <label>PMTCT &amp; Maternal Health</label>
      <value>10</value>
    </item>
    <item>
      <label>Positive Living </label>
      <value>11</value>
    </item>
    <item>
      <label>Prevention </label>
      <value>12</value>
    </item>
    <item>
      <label>Safer sex </label>
      <value>13</value>
    </item>
    <item>
      <label>Sexuality</label>
      <value>14</value>
    </item>
    <item>
      <label>STI's</label>
      <value>15</value>
    </item>
    <item>
      <label>Teenage Pregnancy</label>
      <value>16</value>
    </item>
    <item>
      <label>TB</label>
      <value>17</value>
    </item>
    <item>
      <label>VCT </label>
      <value>18</value>
    </item>
    <item>
      <label>Woman&apos;s Health  </label>
      <value>19</value>
    </item>
    <item>
      <label>Other topic</label>
      <value>20</value>
    </item>
  </select1>
  <input bind="29">
    <label>Other topic:</label>
  </input>
  <select1 bind="30">
    <label>What was the #3 topic discussed?</label>
    <item>
      <label>ARVs &amp; Adherence</label>
      <value>1</value>
    </item>
    <item>
      <label>ARV Readiness</label>
      <value>2</value>
    </item>
    <item>
      <label>Children and HIV </label>
      <value>3</value>
    </item>
    <item>
      <label>HIV &amp; the Immune System </label>
      <value>4</value>
    </item>
    <item>
      <label>Human Rights</label>
      <value>5</value>
    </item>
    <item>
      <label>Nutrition</label>
      <value>6</value>
    </item>
    <item>
      <label>Opportunistic infections  </label>
      <value>7</value>
    </item>
    <item>
      <label>Palliative &amp; Home based care</label>
      <value>8</value>
    </item>
    <item>
      <label>PEP &amp; Rape</label>
      <value>9</value>
    </item>
    <item>
      <label>PMTCT &amp; Maternal Health</label>
      <value>10</value>
    </item>
    <item>
      <label>Positive Living </label>
      <value>11</value>
    </item>
    <item>
      <label>Prevention </label>
      <value>12</value>
    </item>
    <item>
      <label>Safer sex</label>
      <value>13</value>
    </item>
    <item>
      <label>Sexuality</label>
      <value>14</value>
    </item>
    <item>
      <label>STI&apos;s</label>
      <value>15</value>
    </item>
    <item>
      <label>Teenage Pregnancy</label>
      <value>16</value>
    </item>
    <item>
      <label>TB</label>
      <value>17</value>
    </item>
    <item>
      <label>VCT </label>
      <value>18</value>
    </item>
    <item>
      <label>Woman&apos;s Health  </label>
      <value>19</value>
    </item>
    <item>
      <label>Other topic</label>
      <value>20</value>
    </item>
  </select1>
  <input bind="31">
    <label>Other topic:</label>
  </input>
  <select1 bind="32">
    <label>What was the #4 topic discussed?</label>
    <item>
      <label>ARVs &amp; Adherence</label>
      <value>1</value>
    </item>
    <item>
      <label>ARV Readiness</label>
      <value>2</value>
    </item>
    <item>
      <label>Children and HIV </label>
      <value>3</value>
    </item>
    <item>
      <label>HIV &amp; the Immune System </label>
      <value>4</value>
    </item>
    <item>
      <label>Human Rights</label>
      <value>5</value>
    </item>
    <item>
      <label>Nutrition</label>
      <value>6</value>
    </item>
    <item>
      <label>Opportunistic infections  </label>
      <value>7</value>
    </item>
    <item>
      <label>Palliative &amp; Home based care</label>
      <value>8</value>
    </item>
    <item>
      <label>PEP &amp; Rape </label>
      <value>9</value>
    </item>
    <item>
      <label>PMTCT &amp; Maternal Health</label>
      <value>10</value>
    </item>
    <item>
      <label>Positive Living </label>
      <value>11</value>
    </item>
    <item>
      <label>Prevention </label>
      <value>12</value>
    </item>
    <item>
      <label>Safer sex</label>
      <value>13</value>
    </item>
    <item>
      <label>Sexuality</label>
      <value>14</value>
    </item>
    <item>
      <label>STI&apos;s</label>
      <value>15</value>
    </item>
    <item>
      <label>Teenage Pregnancy</label>
      <value>16</value>
    </item>
    <item>
      <label>TB</label>
      <value>17</value>
    </item>
    <item>
      <label>VCT </label>
      <value>18</value>
    </item>
    <item>
      <label>Woman&apos;s Health  </label>
      <value>19</value>
    </item>
    <item>
      <label>Other topic</label>
      <value>20</value>
    </item>
  </select1>
  <input bind="33">
    <label>Other topic:</label>
  </input>
  <select1 bind="34">
    <label>What was the #5 topic discussed?</label>
    <item>
      <label>ARVs &amp; Adherence</label>
      <value>1</value>
    </item>
    <item>
      <label>ARV Readiness</label>
      <value>2</value>
    </item>
    <item>
      <label>Children and HIV </label>
      <value>3</value>
    </item>
    <item>
      <label>HIV &amp; the Immune System </label>
      <value>4</value>
    </item>
    <item>
      <label>Human Rights </label>
      <value>5</value>
    </item>
    <item>
      <label>Nutrition</label>
      <value>6</value>
    </item>
    <item>
      <label>Opportunistic infections  </label>
      <value>7</value>
    </item>
    <item>
      <label>Palliative &amp; Home based care</label>
      <value>8</value>
    </item>
    <item>
      <label>PEP &amp; Rape</label>
      <value>9</value>
    </item>
    <item>
      <label>PMTCT &amp; Maternal Health</label>
      <value>10</value>
    </item>
    <item>
      <label>Positive Living </label>
      <value>11</value>
    </item>
    <item>
      <label>Prevention </label>
      <value>12</value>
    </item>
    <item>
      <label>Safer sex</label>
      <value>13</value>
    </item>
    <item>
      <label>Sexuality</label>
      <value>14</value>
    </item>
    <item>
      <label>STI&apos;s</label>
      <value>15</value>
    </item>
    <item>
      <label>Teenage Pregnancy</label>
      <value>16</value>
    </item>
    <item>
      <label>TB</label>
      <value>17</value>
    </item>
    <item>
      <label>VCT </label>
      <value>18</value>
    </item>
    <item>
      <label>Woman&apos;s Health  </label>
      <value>19</value>
    </item>
    <item>
      <label>Other topic</label>
      <value>20</value>
    </item>
  </select1>
  <input bind="35">
    <label>Other topic:</label>
  </input>
    <select1 bind="18">
    <label>Did you use a CHMT AV Kit?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
  <select1 bind="19">
    <label>Did you show a CHMT DVD?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
  <select1 bind="20">
    <label>Did you use 'Scrutinize' material?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
  <select1 bind="21">
    <label>Did you show a 'Spares and Besties' DVD?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
  <select1 bind="22">
    <label>Did you show a CHMT PSA?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
  <select1 bind="23">
    <label>Did someone from CHMT co-facilitate the session with you?</label>
    <item>
      <label>No</label>
      <value>1</value>
    </item>
    <item>
      <label>Yes - a TLT</label>
      <value>2</value>
    </item>
    <item>
      <label>Yes - a TLP</label>
      <value>3</value>
    </item>
    <item>
      <label>Yes - a Peer Educator</label>
      <value>4</value>
    </item>
    <item>
      <label>Yes - TL Coordinator</label>
      <value>5</value>
    </item>
  </select1>
  <input bind="24">
    <label>What was the name of the co-facilitator(s)?</label>
  </input>
  <input bind="36">
    <label>What is the name of the organization that received training</label>
  </input>
  <input bind="37">
    <label>Phone number for the organization</label>
  </input>
  <input bind="38">
    <label>The contact person&apos;s name at the organization</label>
  </input>
  <input bind="39">
    <label>Contact person&apos;s number</label>
  </input>
  <input bind="40">
    <label>Contact person&apos;s position</label>
  </input>
  <select1 bind="25">
    <label>Has this session been confirmed with a signature or a stamp?</label>
    <item>
      <label>Yes</label>
      <value>Y</value>
    </item>
    <item>
      <label>No</label>
      <value>N</value>
    </item>
  </select1>
</h:html>